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All APPLICABLE INFO' MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �'1G� t'J"I q
'I
• f:
Building. Permit 'Application
Planning and Development Services
Building and Code Regulation Division' COITII'1'lerdal Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: .Travis Gates
PROPOSEDIMPROVEMENT LOCATION: New Accessory.Structure
Address: 5105 Pinetree Dr Fort Pierce, FL 34982
Property Tax IDy#: 3402=602-0138-000-7 .
Site Plan Name:
Project Name: Travis Gates
DETAILEDI)ESCRiPTION'OF WORK:
30x60x16 steel building on new concrete
no plumbing, no electric, no dtivelray
Lot No. 32-34
Block No. 4',
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
._Mechanical _Gas Tank _Gas Piping _Shutters _Windows/.Doors _Pond
Electric _ Plumbing ,_, Sprinklers _ Generator X_ Roof 3:12 Pitch.
Total-Sq. Ft of Construction: 1800
Cost of Construction: $ 25917
Sq. Ft. of First'Floor:
utilities: X5ewer• _Septic
Building Height: - .12/9 jl
OWNER/LESSEE:
CONTRACTOR:
Name . Travis Gates & Andriana N Gates :
Name: James Player
.Company: Carports Anywhere
Address:5105 Pinetree Dr
City: Fort Pierce State: F�
Address: PO BOX 776
34982
Zip Code: Fax: 352-468-1113
City: Starke State: F�
Phone No. 352-468-1116
Zip Code 32o9i Fax: 352-468-1113
E-Mail: permitting@caportsanywhere.com
Phone No 352-468-1116
Fill in fee simple Title Holder on -next page { if different
E-Mail permitting@caportsanywhere.com
from the Owner listed above)
State or County License CBC12519916
If value of construction is 2500 or more, a.RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION'
DESIGNER/ENGINEER: _ Not AppEicable
{MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip; Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACtOR AFFIDVIT: Application is hereby made to obtain a permitto do the work and installation as -indicated.
I certify that no work or installation has commenced prior to the. issuance of a permit.
St. Lucie County makes norepresentation. that is granting: a permit will authorize the permit holder to build the stibject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please tonsuItwith your Home Owners Association 'and review your deed for any.restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida. Building Codes and St..lucie County Amendments.
The following building permit.appiications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools,. fences, wails, signs, screen rooms and accessory uses -to another.non-residential use
WARNING TO OWNER: Your failure to. Record a Notice of Commencement may result; in paying twicefor
improvements to your property. A Notice of'Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection.. If you intend to obtain financing, consult
with lender w an attornev before commencing work or recordinra your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contra r/License Holder
STATE OF FLORIDA STATE OF FLORID ^�
COUNTY OF �.: . E �, COUNTY OF i�t c '4�itd
Sworn too ffirmedj and subscribed before me of
yysical Presence or Online Notarization
t Is "day of %jo, 2 20.:L by
Name of person making statement.
Personally Known OR/OR Produced Identification
Type of Identification
Sworn; to (or affirmed) and subscribed before me of
-Physical Presence or Online Notarization
this ; day of -TaA-uQX V. 20 L by,
Name of person making statement. _ w
Personally Known OR Produced Identification
Type of identification _ p
Produced r
f! /�
jt�gnacure or tot ,a o� Statq;eAW4(Uk0ZbdAst.EY (Signatur 1 - Sty of Fli*ida j
e % Notary Public -State of Florida „f MARIA R. ci;RGfN
�% Commirion{ yg�ts6 Commissi ELh1 r� u , (Seal
Commission No. P R mm. Ez it s o 26; 2023-�3t�2349
Bonded through National NotaryAsfn. =.sy `��: Exli(O-SA09ust25,2023
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